DATA SUB PIN POLIO 0 BULAN -12 TAHUN DI BULAN DESEMBER TAHUN 2022

DI WILAYAH KERJA UPTD PUSKESMAS PEUREULAK KEC.PEUREULAK KAB.ACEH TIMUR

NAMA DESA:UTEUNDAMA

KEC/KAB :PEUREULAK/ACEH TIMUR

PROVINSI :ACEH

NAMA BIDAN DESA :ENDRIANI.Amd.Keb

No NAMA ANAK NIK ANAK L/P TTL ANAK NAMA IBU NIK IBU ALAMAT NO DOSIS TANGGAL KET
HP D1 D2 PELAYANAN
1 M.Azis 1103071911140004 L 19-11-2014 Ramlah 11030771121790023 Sejahtera 
2 Salwa 1103076412110001 P 14-12-2011 Mulisah 1103074108730001 - 
3 Zahratul Ulfia 1103076412110001 P 05-08-2015 Ainul Mardiah 1103074106750003 Sejahtera 
4 M.ikram 1103072311150002 L 23-11-2015 Titin Nurhayati 1103070304820005 - 
5 Syarima Atika 1103074510120001 P 05-10-2012 Asmaul Husna 1103076606720003 - 
6 M.khairul 1103071607160001 L 16-07-2016 Mislahati 1103075808760001 - 
7 M.zafir 1103070805180001 L 08-05-2016 Yusnidar 1103074108820002 - 
8 Jasmin Mauliza 1103074103150001 P 01-03-2015 - - 
9 Saskia Ramadana 1103076506120001 P 25-06-2012 - - 
10 M.Alif 1103072805200004 L 28-05-2020 - - 
11 M.Alfatih 1103072305190003 L 23-05-2019 Ratin Prasiska 1174025601920001 - 
12 M.Iqbal 11030706041`20001 L 06-04-2012 Ayu ningsih 1103075108850001 - 
13 Misratin Nisa 1103075709130003 P 07-09-2013 Masyitah 1103074304850004 - 
14 Rizky Ramadhan 1103072506160002 L 25-06-2016 - - 
15 M.Ashraf 1103072206210001 L 22-062021 - - 
16 Akifa Naila 1103071506190004 P 15-06-2019 Nurlailawati 1103075208790002 - 
17 Muhammad 1107133001150002 L 30-01-2015 Asmaul Husna 1107135007930003 - 
18 Marhaban 1103132306160001 L 23-06-2016 - - 
19 Siti Aisyah 110713710320001 P 31-03-2020 - - 
20 Nazila Safiara 1103076311180001 P 23-11-2018 Maulidar 1103075810890001 - 
21 M.Adam 1103070110210001 L 01-10-2021 Maulidar - - 
22 Rahma ulana 1103075505190002 P 15-05-2019 - - - 
23 Ramadhan 1103075505190001 P 15-05-2019 Rahma Izzati 1103074303950002 - 
24 Muhammad asraf 1108242408110001 L 24-08-2011 Nilawati 1108245508800001 - 
25 Riza Mahdhira 1103071309120004 L 13-09-2013 Mursida 1103075409870001 - 
26 Zahwa Althafunnisa 1103074207180003 P 02-07-2018 - 1103075409870001 - 
27 Faizha Putri 1103076701180002 P 27-01-2018 Nur Sakdah 1103074107770382 - 
28 Myesha Amila 1103075901210001 P 19-01-2021 Fahda Maulida 1103075901210001 - 
29 Rizki Ananda 1103072908120001 L 29-08-2012 Nur Asmi 1103075708860005 - 
30 Saydatul Nafisah 1103076003140002 P 20-03-2014 Yusnidar 1103076008900001 - 
31 Miftahul Jannah 1103075409190001 P 14-09-2019 - - - 
32 M Dafa shuhada 1103131908140003 L 19-06-2014 Lina Sarisma 1103139604930001 - 
33 Humaira 1103134508150001 P 05-08-2015 - - - 
34 M.Arsyil 1103071307190004 L 13-07-2019 - - - 
35 Ulfi Riadhatul ulia 1103075505100001 P 15-05-2010 Santi 1103074107850445 - 
36 Muhammad 1103071309120003 L 13-09-2012 - - - 
qusyairi
37 Badatul zatasil 1103075606180003 P 16-06-2018 - - - 
38 Muhammad 1103071408190004 L 14-08-2019 - - - 
39 Nailul Rizqia 1103075803120001 P 18-03-2012 Nuraida 1103075205870004 - 
40 M.syafiq 1103071312150004 L 13-12-2015 - - - 
41 Siti Kamila 1103076812190001 P 28-12-2019 Fitriani 1103075205890002 - 
42 Alaisa Zahra 1103076709150003 P 27-09-2015 Akmalia 1103174910970001 - 
43 Muhammad Sahlan 1103071711180006 L 17-11-2018 - - - 
44 Sabriel Raiyyan 1103070608190002 L 06-08-2019 Putri Alfian 1103075606010006 - 
45 Naila Tusyifa 1103075207120003 P 12-07-2012 Fitrianingsih 1103075207120003 - 
46 Khalisa Fairuza 1103074707200003 P 07-07-2020 - - - 
47 Muhammad hamrir 1103071304200001 L 13-04-2020 Darmiati 1103075710940005 - 
48 Afdalul Rizki 1103072007120003 L 20-07-2012 Nurhayati 1103074107750323 - 
49 Muhammad Hafiz 1103072705200001 L 27-05-2020 Suprihati 3308185008950010 - 
50 Muhammad Fadil 1103071512160001 L 15-12-2016 Zahara 1103075106920001 - 
51 M.Tajul 1103072509110001 L 25-09-2011 Fatimah 1103074404810002 - 
52 M.Rasya 1103070204150001 L 02-04-2015 - - - 
53 Badrul Fajri 1103071203170002 L 12-03-2017 Nurdiawati 1103075208770001 - 
54 Syakira Adarani 1116045712120002 P 17-12-2012 Ruaida 1103074107680217 - 
55 M.Rizki 1103072803120001 L 28-03-2012 Maulina Wati 110307500950011 - 
56 Zulfa KAMILA 1103076604150001 P 26-04-2015 - - - 
57 M.Ridha 1103072510170001 L 25-10-2017 - - - 
58 Hilma Shaleha 1103076003110001 P 20-03-2011 AISYAH 1103076014910002 - 
59 Hafizul Furqan 1103072205160001 L 22-05-2016 - - - 
60 Nuwaira Inaiya 1103074311200002 P 05-11-2020 - - - 
61 Zulfikar 1103072405150001 L 24-05-2015 Erni Mauliza 1103076509950001 - 
62 Alfa Mahriza 1103070604170002 L 06-04-2017 Anita 1103075007880009 - 
63 Aisha Alifa 1103076108190005 P 21-06-2019 - - 
64 Syakira Ramadan 1103075807130001 P 13-07-2013 Zahara 1103075003780004 - 
65 Nadratul Nurzahra 1103076901140001 P 29-01-2014 Esti wulandari 1272075607850001 - 
66 Syuhura Manzila 1103076812170001 P 28-12-2017 Ayu Puspita 11074024601980001 - 
67 Rahisa Mahira 1103076003120003 P 20-03-2012 Habsah Ali 1103076510760001 - 
68 m.RiSki 1103072806130001 L 28-06-2013 Nur Adnen 11030707109770001 
69 Nurfadilah 1103070308140003 P 27-06-2014 Nurmida 1103074106830006 - 
70 Nur Syakira 11030775701220001 P 17-01-2022 Halimatussakdiah 1103075212890003 - 
71 M.Alfarizi 1103071005140002 L 10-05-2014 Maulidar - - 
72 M.Lutfi 1103072503170003 L 27-03-2017 - - - 
73 M.Irvan 1219022302160003 L 23-02-2016 Nurhajjah 1101211902510486000 - 
1
74 Mahira Ramadani 11074025208120001 P 12-08-2012 Samsidar 1114024907850003 - 
75 Athafarz Mauza 1104022101170001 L 21-01-2017 - - - 
76 Naura Abdila 1103075209180001 P 12-09-2018 Nurfadilah 1103074903960001 - 
77 Rajul Rifki 1103070710130005 L 07-10-2013 Wahyuni 1103075207890003 - 
78 Rahmat Baliya 1103072512160002 L 25-12-2016 - - - 
79 Nazila Ulfa 1103074706190003 P 07-06-2019 - - - 
80 M.Hafiz 1103071102100001 L 11-01-2011 Nurlela 110307456760002 - 
81 Laila Rahimah 1103074302110002 P 03-01-2011 Yusnadia 1103074101810005 - 
82 M.Khatani 1103072404160002 L 24-04-2016 - - Sejahtera 
83 Ulfa Mahira 1103076702210001 P 27-02-2021 Nurrahmi 1103076210970001 Tampak 
84 Fatin arzani 1103076011210001 P 20-11-2021 Nurfitria 1103075812030003 - 
85 Syammil fayyath 1103071306160001 L 13-06-2016 Idawati 1103075303890002 - 
86 Syazwinatul Nazmi 110307471220002 P 07-12-2020 - - - 
87 Siti munawarah 1103030308140002 P 23-08-2014 Suriyanti 1103074106890001 - 
88 Alif ziyad 1103032002200001 L 20-02-2020 - - - 
89 Kalis alvian 1103072205180002 L 22-05-2018 Dewi zahara 1103074404940005 - 
90 Mutia Azzahra 1103074209200005 P 02-09-2020 - - - 
91 M.rafiq alhariri 1103071302110002 L 13-02-2011 Martini 1103075402850002 - 
92 M.aizam alghifary 1103070509140003 L 05-09-2014 - - - 
93 Hilma zahkia 1103074512100001 P 05-12-2010 Nurfitri 1103075201020004 - 
94 Selvi anggreini 1103075501160001 P 15-01-2016 Putri nurhayati 1271186406030001 - 
95 M.Alfarizi 1103070112190002 L 01-12-2019 - - - 
96 Syakira anajla 1103075003110002 P 10-03-2011 NURMALA - 
97 Akli Shabirun 1103072412120001 L 24-12-2012 Hasmiaton 1103074110920002 - 
98 Faiza maisura 1103076208170003 P 22-08-2017 - - - 
99 Saidatul Akmal 1103071707110002 L 17-07-2011 Rosdiana 1103075504920002 - 
100 Kanzar Haryuga 1103072907160001 L 29-07-2016 - - - 
101 T.M.hafidz 1171041206160001 L 20-07-2014 Muliana 1103075507180002 Tampak 
almubarak
102 Cut hani azzahra 1103074608180001 P 12-06-2016 - - - 
103 Marzalena 1103077007030001 P 30-07-2003 Fauziah 1103074107770362 - 
104 Asrafil rijal 1103071409080001 L 14-09-2008 - - - 
105 Widad syakira 1103074104150002 P 01-04-2015 Nazariah 1103074107890402 - 
106 Naili makfirah 1103076206180002 P 22-06-2018 - - - 
107 Alia izzati 1103076411210001 P 24-11-2021 - - - 
108 Maulidin 1103070507070001 L 05-07-2001 Mariana Amin 11o3074212930001 - 
109 Uwais Alqarni 1103072211180002 L 22-11-2018 Sarmila 110307421229930001 - 
110 Syahir alfathan 1103072108190001 L 21-08-2019 Nurhanifah 1174056407890001 - 
111 Abdul aziz 1103071001000006 L 10-01-2000 Mahbudah 11030741077750404 - 
112 M.fadil 1103072812030003 L 28-12-2006 - - 
113 Raiyan nusri 1103070610150001 L 06-10-2016 - - - 
114 T.M.ramazan 1103172407120001 L 27-07-2012 Cut nazariah 1103076008020002 - 
115 M.Arya aswari 1103072007190003 L 20-07-2019 Nailul Muna 1103184812990001 - 
116 Nanda Syaputra 1103070710120001 L 07-10-2012 Maya rosita 1174015205860002 - 
117 Miftahuljannah 1103077010170001 P 30-10-2017 - - - 
118 Fazlun nusra 1103071908160002 L 19-08-2016 Ruaida 1103074612930001 - 
119 Zahrul mahriza 1103072906160002 L 29-06-2016 Zahara 1103074203860001 
120 Tursina 1103075210100003 P 12-10-2010 Mursidah 1103074107800488 - 
121 M.Nazar 1103070712120002 L 06-12-2012 Anita 1103076127770002 - 
122 Edi saputra 1103072212100003 L 22-12-2010 Ainul mardiah 1103074605800002 - 
123 Afika virginia 1103074704120003 P 07-04-2012 Nurhayati 1103076602900002 Tampak 
124 Nazira thafunnisa 1103044904100001 P 09-04-2010 Nurul hidayah 1103045101860001 - 
125 Fatyan almuttaqin 1103072505130002 L 25-05-2013 - - - 
126 Aqila fariza 1103076309160003 P 23-09-2016 - - - 
127 Kqayyiem hakimi 1116012905120001 L 29-05-2012 Fatimah 1116015307820006 - 
128 Rais arzani 1103070501140004 L 05-01-2014 - - 
129 Nur fatin illiyin 1103074104190001 P 01-04-2019 - - - 
130 Epi aulia 110307461410002 P 06-11-2011 Zahara 1103074707740004 - 
131 Naufal alqusyairi 1103071707110001 L 17-07-2011 Mahfuzah 1103074809850005 - 
132 Syauqie as siddiki 1103070305140004 L 03-05-2014 - - 
133 Alfiatul ikramah 1103136611110002 P 26-11-2011 Rosmiati 1103134306890001 - 
134 Husni mubarak 1103132312140001 L 23-12-2014 - - 
135 Maulana yusuf 1103072307180001 L 23-07-2018 - - - 
136 Miratun nafis 1103074106120001 L 01-06-2012 Asniati 1103074403600004 - 
137 Asyifa aur rahman 11030760081880003 P 20-05-2018 - - - 
138 M.mirza 1103071605150001 L 16-05-2015 Rohana 1103076008860002 - 
139 M.azmi 1103070611180005 L 06-11-2018 - - - 
140 Putri raisa 1103076711190003 P 27-11-2019 Mariati 1103076503970001 - 
141 Nadia alfia 1171056702100001 P 27-02-2010 Rohana 1171053110060001 - 
142 Abidzar al ghifari 1103072904140003 L 29-04-2014 - - TAMPAK 
143 M.rasya 1103072812110002 L 20-12-2011 Nurul hayati 1103076808690002 - 
144 M.dainuri 1103072202150001 L 22-02-2015 Mariani 1103074406810002 - 
145 Syahrur ramadhan 1103070608110001 L 06-08-2011 Nur asma 1103074608810002 - 
146 M.khalili 1103072201170001 L 22-01-2017 Nur asma 1103074608810002 
147 Rahmatul latifah 1103075501130001 P 15-07-2013 Warniati 110307451090007 - 
148 Rifatussauma 1103076106150002 P 21-06-2015 - - - 
149 Marza arfina 1103075905210004 P 19-05-2021 - - - 
150 Fatimah zuhra 1103075503120003 P 15-03-2012 Rahmyanti 1103075005850011 - 
151 Mutmainnah 1103075607160001 P 16-07-2016 - 
152 Nabil fayad 1174032501160001 L 25-01-2016 Putri raisah 1114034610930001 - 
153 Alika khaira 1124036610170001 P 26-10-2013 - - - 
154 Zahid alhafizh 11030706041600001 L 06-04-2016 Yusriani 1103105712860001 - 
155 Alika naila putri 1103074307180001 P 03-07-2018 - - - 
156 Ahmad mufaddal 1103071608150004 L 16-08-2015 Idamaina 1111094405850001 
157 Ahmad al bushairi 1103070410170001 L 04-10-2017 - - - 
158 Kahisha safwana 1103074808200001 P 08-08-2020 - - - 
159 Bazural lutfi 1103072001100002 L 20-01-2010 Marlina 1103076804800001 - 
160 Nisaatul khaiyarati 1103074403140001 P 04-03-2014 - - - 
161 Aliya ramadani 1103076108120001 P 21-08-2012 Marliana 1103074107880430 - 
162 Arsyila humaira 1103076004200001 P 20-04-2020 - - - 